Alzheimer's & dementia (New York, N. Y.) · 2025
Factors associated with adherence to tablet-based cognitive training: J-MINT study.
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Sugimoto Taiki, Uchida Kazuaki, Sato Kenji, Yokoyama Yoko, Onoyama Ayaka, Fujita Kosuke, Kuroda Yujiro, Wakayama Satomu, Arai Hidenori, Sakurai Takashi, J‐MINT study group
Аннотация
INTRODUCTION: Cognitive training is a key component of multidomain interventions to prevent cognitive decline; however, low adherence remains a challenge. In this post hoc analysis of the Japan-Multimodal Intervention Trial for Prevention of Dementia (J-MINT), factors associated with cognitive training adherence in older adults with mild cognitive impairment were investigated.
METHODS: J-MINT was an 18-month randomized controlled trial. The analyses included 191 participants (intervention group) who completed the trial. Adherence was assessed by calculating the number of days the participants engaged in tablet-based cognitive training for at least 30 min.
RESULTS: Vision difficulty and a larger friend network were negatively associated with adherence. Female sex, higher cognitive function, and satisfaction with training tasks and implementation goals were positively associated with adherence.
DISCUSSION: The results imply that not only the participants' characteristics but also the training task design and implementation goal setting (training duration and frequency) are associated with adherence.
CLINICAL TRIAL REGISTRATION NUMBER: This trial was registered with the University hospital Medical Information Network (UMIN) Clinical Trial Registry (UMIN000038671).
HIGHLIGHTS: Factors associated with adherence to cognitive training were evaluated.Vision difficulty was negatively associated with adherence.A larger network of friends was negatively associated with adherence.Female sex and higher cognitive function were positively associated with adherence.Satisfaction with training tasks and implementation goals was related to adherence.
METHODS: J-MINT was an 18-month randomized controlled trial. The analyses included 191 participants (intervention group) who completed the trial. Adherence was assessed by calculating the number of days the participants engaged in tablet-based cognitive training for at least 30 min.
RESULTS: Vision difficulty and a larger friend network were negatively associated with adherence. Female sex, higher cognitive function, and satisfaction with training tasks and implementation goals were positively associated with adherence.
DISCUSSION: The results imply that not only the participants' characteristics but also the training task design and implementation goal setting (training duration and frequency) are associated with adherence.
CLINICAL TRIAL REGISTRATION NUMBER: This trial was registered with the University hospital Medical Information Network (UMIN) Clinical Trial Registry (UMIN000038671).
HIGHLIGHTS: Factors associated with adherence to cognitive training were evaluated.Vision difficulty was negatively associated with adherence.A larger network of friends was negatively associated with adherence.Female sex and higher cognitive function were positively associated with adherence.Satisfaction with training tasks and implementation goals was related to adherence.